Laserfiche WebLink
<br />ACORD", CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 I DATE <br />06/28/2007 <br />PRDOUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Willie North America, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 26 Century Blv". ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> P. O. Box 305191 <br /> Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Taller SlUl Jose ..4 -';'007-/97 INSURER A: Alnerican Unity GrOUD Ltd C0929-001 <br /> <eo Bouth Batavia INSURER B: <br /> Orange, CA 92666 <br /> INSURER C: <br /> INSURER 0: <br /> INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLlCY PERIOD INDICATED. N01WITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />Il1f 119H.} TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE Pgk\9Y EXPIRA TIgN i LIMITS <br />A ~NERAL LIASIUTY UNI-CGL-07-01-023 6/30/2007 6/30/2008 EACH OCCURRENCE $ 2 000 000 <br /> ..X- OMERCIAL GENERAL LIABILITY ~~~QfE TO RENT~~n'.' $ <br /> - CLAIMS MADE GJ OCCUR MED EXP (Anv on. DorsDnl $ <br /> - PERSONAL & AOV INJURY $ 2 000 000 <br />I GENERAL AGGREGATE $ 2 000 000 <br />I - <br />I <br />, ~N'L AGGRn LIMIT APnS PER: PRODUCTS, COMP/O? AGG $ <br /> POLICY )~T LOC <br /> ~TOM06ILE LIABILITY COMBINED SINGLE LIMIT $ <br /> I i ANY AUTO lEa accldont) <br /> ~ ALL OWNEDAUTOS I <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS {Par parson) <br />, , <br />i R ""'""''' BODILY INJURY i$ <br /> NON-OWNED AUTOS (Por accldonll <br /> i <br /> PROPERTY DAMAGE 1$ <br /> i (Per accident) <br /> ~RAGE LIABILITY I AUTO ONLY, EA ACCIDENT 1$ <br /> ANY AUTO I OTHER THAN EA ACC $ <br /> I <br /> 1 I AUTO ONLY: AGG $ <br /> ~ESSIUMBRELLA LIABILITY EACH OCCURRENCE $ <br />i I OCCUR 0 CLAIMS MADE AGGREGATE $ <br />I , 'f0 FOR1\' $ <br /> ==i DEDUCTIBLE APPR;~VED A $ <br /> RETENTION $ - $ <br /> WORKERS COMPENSA nON AND ~1lf I~ IX '-""__- - I T~~~m~;, I IOJ~' <br /> EMPLOYERS' UABILITY ~OZ(A <br />, ANY PROPRIETOR/PARTNER/EXECUTIVE J- Lorena I E.L. EACH ACCIDENT $ <br /> DFFICER/MEMBER EXCLUDED? Atto,.,'e\: E.L. DISEASE. EA EMPLOYEE $ <br /> If yes. describe under , "c<;;'lstant C t)'..., , <br /> SPECIAL PROVISIONS below E.L DISEASE. POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONSILOCA TIONSNEHICLESIEXCLUSIONS ADDEO BY ENDORSEMENT/SPECIAL PROVISIONS <br />The Certificate Holder is named as Additional Insured by endorsement to the policy subject to the <br />terms set forth in the endorsement. <br />Taller San Jose, Block Grant - 810 N. l?oinsetta, Santa Ana, CA 92701 <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br />SHOULO ANY OF THE A60VE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF. THE ISSUING INSURER WILL ~M~IL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEF1XQUOUaUlC~XOUtlXllt;lU.LL <br /> <br />ACORD 25 (2001/08) <br /> <br />Coll:202914l Tpl:647050 <br /> <br /> <br />@ACORDCORPORATION 1988 <br /> <br />Santa Ana Work Canter <br />1000 E. Santa Ana Blvd. <br />Suite 2000 <br />Santa Ana, CA 92701 <br /> <br />